Suprascapular nerve

Template:Short description Template:Infobox nerve The suprascapular nerve is a mixed (sensory and motor) nerve that branches from the upper trunk of the brachial plexus. It is derived from the ventral rami of cervical nerves C5-C6. It provides motor innervation to the supraspinatus muscle, and the infraspinatus muscle.

Structure

Origin

The suprascapular nerve arises from the upper trunk of the brachial plexus which is formed by the union of the ventral rami of the cervical nerves C5-C6.<ref name="Al-Redouan et al. 2020" />

Course and relations

After branching from the upper trunk, the nerve passes across the posterior triangle of the neck parallel to the inferior belly of the omohyoid muscle and deep to the trapezius muscle. It then runs along the superior border of the scapula through the suprascapular canal,<ref name="Al-Redouan et al. 2020">Template:Cite journal</ref> in which it enters via the suprascapular notch inferior to the superior transverse scapular ligament and enters the supraspinous fossa.<ref name="Reference 1">Template:Cite journal</ref> It then passes beneath the supraspinatus and curves around the lateral border of the spine of the scapula through spinogleniod notch to the infraspinous fossa.Template:Citation needed

Function

The suprascapular nerve is a mixed peripheral nerve containing motor and sensory components.

Motor innervation

• Supraspinatus muscle<ref name="Reference 1" />
• Infraspinatus muscle (through the spinoglenoid notch)<ref name="Reference 1" />

Sensory innervation

• Acromioclavicular joint<ref name="Reference 1" />
• Glenohumeral joint<ref name="Reference 1" /> (shoulder joint)

In the supraspinous fossa it gives off two branches to the supraspinatus muscle and in the infraspinous fossa it gives off two branches to the infraspinatus muscle.

Clinical significance

• Suprascapular paralysis, causing back pain, problems with abduction and external rotation of the humerus, and wasting away of supraspinatus and infraspinatus. Supraspinatus muscle helps in 0°-15° arm abduction. And Infraspinatus helps in lateral rotation (external rotation) of humerus.
• Suprascapular nerve entrapment syndrome, causing shoulder pain and localized muscular atrophy of the supraspinatus and infraspinatus muscles. This can potentially develop due to suprascapular nerve being entrapped and compressed within the suprascapular canal potential anatomical entrapment sites.<ref name="Al-Redouan et al. 2020" />

Additional images

• Gray810.png

  Suprascapular and axillary nerves of right side, seen from behind.

• Brachial plexus color.svg

  Brachial plexus with courses of spinal nerves shown

External links

• Template:DukeOrtho